Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Antjuan Mandwell Bunn

Individual provider Prosthetics Case Management · NPI 1790316206

Antjuan Mandwell Bunn is a Prosthetics Case Management in College Park, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2020
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Practice location Address checks out

8147 Baltimore Ave Ste C
College Park, MD 20740-2492
Phone: (240) 398-1909
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Specialties & licences

Prosthetics Case Management (primary) Taxonomy 1744P3200X · Licence 221886 (MD)

Record details

NPI number1790316206
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 3, 2020
Last updated in NPPESFebruary 19, 2020
Certification dateFebruary 19, 2020

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